Intramedullary reinforcement of sternal fixation with autologous xiphoid tenon

Jen Ping Chang*

*Corresponding author for this work

Research output: Contribution to journalComment/debate

1 Scopus citations


Minimally invasive cardiac surgery through a partial sternotomy or a ministernotomy is popular. However, the transverse nonunion of the sternum will be a potential complication. Valid and valuable techniques have been introduced for securing the sternotomy fixation. Most of them are focused on the materials or methods for extrinsic reinforcement. A new concept, focused on the intramedullary reinforcement of the sternal fixation, was designed by incarcerating a cancellous portion of the autologous xiphoid in the marrow space of the inter-segmental junction of the partial sternotomy. This autologous xiphoid tenon method is simple, reliable, and reproducible without additional requirement of device implantation or an iliac incision for the bone grafting.

Original languageEnglish
Pages (from-to)472-475
Number of pages4
JournalJournal of Thoracic Disease
Issue number1
StatePublished - 01 01 2018

Bibliographical note

Publisher Copyright:
© Journal of Thoracic Disease.


  • Autograft
  • Minimally invasive surgery
  • Sternum


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